Feline Stomatitis Treatment

This looks like a reliable website: http://animaldentalspecialist.com/feline-stomatitis/

FCG-STM is considered to be a chronic, incurable disease; however, there are a variety of treatment options available that may help control symptoms and improve the quality of your pet’s life.  Clearly, not all FCG-STM patients are alike.  Some patients respond to periodontal treatment, some to antibiotics, some to steroids and antibiotics, some to extractions, and some to nothing at all.  In many cases where there is initial control, however, worsening often occurs over time.  Depending on the individual case, medication dosages or the medications themselves may need to be adjusted or changed.  Eventually, there may be nothing that effectively controls  symptoms.  Remember that any medication can have side effects.  For this disease, the use of medications that may have some risk is a better alternative than living with this disease.

Vincent stopped eating again. Clearly, there is definitely some problem inside his mouth.

According to this website:

Dental Extractions: In the face of FCG-STM, this is the preferred initial treatment choice.  Other treatments do not work very well until the bacterial loads are reduced (extractions performed).  Although not proven, most experienced with treatment of this disease agree that the earlier extractions are performed in the disease process the better the prognosis seemingly is.  Remember that the criteria for extraction is when we cannot otherwise control infection or pain and this is almost always the case when this disease is present.  About 60 to 80% of cases improve or resolve following premolar-molar extractions.  Success is measured by the response to treatment: reduced or resolved inflammation, the lack of or significant decrease of clinical signs (decreased appetite, pain on open mouth, drooling, pawing at face) and patient’s level of “well being”.  Some individuals respond very well to extractions only, and others do not improve at all.  Most cases fall somewhere in between.  Which teeth, and how many require extracting, depends on the individual pet’s case.  Partial-mouth extractions: cheek teeth (premolars and molars) to full-mouth extractions (incisors, cheek teeth, canine teeth) are usually needed.  If partial-mouth extractions are performed, it should be remembered that eventually the remaining teeth (canines) may need to be removed as well.  With each extraction, all tooth material must be carefully removed.  If root material is left behind, inflammation may not subside.  Extraction of feline teeth is technically very difficult and time consuming.  Depending upon factors such as the individual’s overall health and anesthesia risks, oral surgery (extractions) may need to be staged (work performed in two stages).  In some cases, two shorter anesthetic procedures and recoveries may have less risk than one very long episode.  After extraction sites have healed and sutures dissolved, the need for medical management can be assessed.Most cats do surprisingly well in the immediate post oral surgery/extraction period.  This is the usual case even when full mouth extractions have been necessary.  We typically recommend only offering soft food for a couple of weeks after extraction procedures, but once the extraction sites have healed some cats will prefer to eat hard food, even in cases where they have had all of their teeth extracted.  This is likely because most cat kibble is quite small and can be easily swallowed whole.  As true carnivores, cats are primarily food gulpers and not chewers as humans suspect. This means they have the mechanism for by-passing their teeth when they are diseased or when some or all are missing.  If patients are significantly debilitated from their disease prior to extractions, or if it is assessed that there may be recovery/healing difficulties, placement of a temporary feeding tube may be necessary to by-pass the oral cavity and provide a means of providing nutritional support during the healing process.  Feeding tubes are usually very well tolerated and are much more patient friendly than they may seem.

Source: https://myanimalcare.org/2016/06/07/feline-stomatitis-treatm..

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